The effect of metabolic control, self-efficacy, and quality of life on emotional eating in the adolescents with type 1 d
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ORIGINAL ARTICLE
The effect of metabolic control, self-efficacy, and quality of life on emotional eating in the adolescents with type 1 diabetes mellitus Dijle Ayar 1
&
Candan Ozturk 2 & Murat Bektas 1 & Ece Bober 3 & Margaret Grey 4
Received: 17 October 2019 / Accepted: 4 May 2020 # Research Society for Study of Diabetes in India 2020
Abstract Purpose The purpose was to investigate the effects of metabolic control, self-efficacy, and quality of life on emotional eating in the adolescents with type 1 diabetes mellitus. Methods This was a descriptive, cross-sectional, and correlational study. A total of 107 adolescents participated. Data were collected using the Pediatric Quality of Life Inventory™ 3.0 Diabetes Module, the Diabetes Management Self-Efficacy Scale, and the Emotional Eating Scale. The relationships among emotional eating, metabolic control, self-efficacy, and quality of life were assessed using bivariate correlation analyses. Multiple regression analysis was used to analyze the data. Results The adolescents with diabetes ranged in age from 11 to 18 years. The mean duration of diabetes was 5.42 ± 3.35 years. Mean A1C levels were 9.29 ± 1.38%, far above the recommended level. When the correlation between emotional eating and selfefficacy was studied in the adolescents, there was a significant positive moderate correlation of self-efficacy with emotional eating. There was a significant negative moderate correlation between quality of life and emotional eating, but no significant correlation between A1C and emotional eating. Conclusion As a result of the study, it was found that self-efficacy and quality of life of adolescents with type 1 diabetes have an effect on emotional eating, while A1C values of adolescents have no effect on emotional eating. In future studies, it is recommended to add other factors that may affect the emotional eating behaviors of adolescents with diabetes and also to make different studies with a higher number of samples. Keywords Type 1 diabetes mellitus . Self-efficacy . Quality of life . Emotional eating
Introduction Nutritional management is one of the cornerstones of diabetes care and education in adolescents with type 1 diabetes mellitus (T1DM). The International Society of Pediatric and Adolescent Diabetes’ Guidelines [1] noted that nutritional therapy is critical and eating problems are common, especially
* Dijle Ayar [email protected] 1
Pediatric Nursing Department, Dokuz Eylul University Faculty of Nursing, 35340 Izmir, Turkey
2
Pediatric Nursing Department, Near East University Faculty of Nursing, Nicosia, Cyprus
3
Department of Pediatric Endocrinology, Dokuz Eylul University Faculty of Medicine, 35340 Izmir, Turkey
4
Yale Schools of Nursing and Medicine, New Haven, CT, USA
in adolescence when challenging behaviors may include staying out late, sleeping in, skipping insulin, missing meals, and, in some cultures, drinking alcohol [1]. Healthy nutrition is very important for improving T1DM outcomes and to minimize the advent of complications. Adolescenc
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